| NPI | 1457870818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA EAST Office Manager 334-759-7390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-07-21 |